Sutherland Lance
Front End Processor at J&B Medical- Claim this Profile
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Topline Score
Bio
Credentials
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Hospitality Management Certification
-May, 2014- Nov, 2024
Experience
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J&B Medical
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United States
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Wellness and Fitness Services
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100 - 200 Employee
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Front End Processor
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Sep 2019 - Present
• Handle a variety of incoming and outgoing calls using (both through Shore-Tel and from the answering service) regarding new and/or existing members/caregivers needs • Multitasking using multiple computer applications/programs • Creation of new member accounts • Review/Update all demographic and personal health information in the member’s account, including but not limited to the following: address – both mailing and shipping if different, phone number(s), e-mail address(es), physician information, caregiver(s), etc. • Access and enter data in existing patient accounts following HIPAA guidelines. • Insurance verification following established verification processes. • Speaks with members, caregivers, doctors and other outside providers to regarding member account and product needs. • Document all interactions in patient medical records for proper record keeping (account notes). • Documentation creation and follow up to ensure necessary documentation on file to ship supplies per Insurance guidelines (Advanced beneficiary Notification, Certificate of Medical necessity, Prescriptions, Letter of Medical Necessity, etc). • Build proficiency and strong knowledge base on all product lines serviced. • Submit reports and productivity tracking to leaders as requested. Show less
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Synchrony
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United States
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Financial Services
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700 & Above Employee
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Customer Service Representative
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Feb 2016 - Sep 2019
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Henry Ford Health
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United States
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Hospitals and Health Care
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700 & Above Employee
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Patient Advocate
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Jun 2011 - Feb 2014
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Education
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Sinclair Community College
Associate of Arts (A.A.), Hospitality Administration/Management